Individual
BRIAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-4258
Mailing address
3181 SW SAM JACKSON PARK RD., SJH-2, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-4258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MT208253
PA
2085R0204X
Vascular & Interventional Radiology Physician
213551
AK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD198267
OR
2085R0204X
Vascular & Interventional Radiology Physician
MD61228625
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
11/24/2023
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